Autism & Developmental

Stress and coping in families of children with Smith-Magenis syndrome.

Hodapp et al. (1998) · Journal of intellectual disability research : JIDR 1998
★ The Verdict

For Smith-Magenis families, having friends to call lowers parent stress more than any coping class.

✓ Read this if BCBAs serving families of children with rare genetic syndromes.
✗ Skip if Clinicians who only work with typically-developing kids.

01Research in Context

01

What this study did

The team mailed a survey to 36 families who have a child with Smith-Magenis syndrome.

They asked parents to rate stress, coping style, and how many friends or relatives give help.

Then they checked which factor best softened stress.

02

What they found

Mothers and fathers scored as high on parenting stress as families of kids with other rare disorders.

The number of friends parents could count on, not money or coping style, was the strongest buffer.

More friends meant lower stress.

03

How this fits with other research

Lanfranchi et al. (2012) later used the same survey across four syndromes and found Prader-Willi parents feel the most strain, Down parents the least.

Together the two studies show stress levels differ by syndrome, yet social support stays the top shield.

Adams et al. (2018) followed moms of children with Angelman, CdLS, and Cri-du-chat for years and saw stress drop as the child aged, even when behavior stayed tough.

Their finding adds a time lens: support matters, but some syndrome-linked stress also fades naturally.

04

Why it matters

When you meet a Smith-Magenis family, map their social net first. If it is thin, link them to local grand-parent groups, online SMS pages, or respite nights. One new reliable friend can cut stress more than teaching deep-breathing tricks.

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Ask parents to list three people they can text for help; if the list is short, give them the SMS support group phone number today.

02At a glance

Intervention
not applicable
Design
survey
Sample size
36
Population
developmental delay, other
Finding
not reported

03Original abstract

To describe stress and coping in families of children with Smith-Magenis syndrome, the present authors interviewed and received questionnaires from families of 36 children with this disorder. For measures of total stress, and of parent and family problems, the best predictors were the family's number of friends and the child's degree of impairment on the Vineland socialization domain; the single best predictor of parental pessimism was the child's degree of maladaptive behaviour. Although the stress levels of the families of children with Smith-Magenis syndrome are comparable to the levels shown by the families of children with Prader-Willi and 5p- syndromes, these levels are much higher than the stress levels reported by families of children with mixed or non-specific developmental disabilities. Stress levels may be similar across aetiologies involving high levels of maladaptive behaviour, but the correlates of family stress--particularly the moderating role of family friends--seem specific to Smith-Magenis syndrome.

Journal of intellectual disability research : JIDR, 1998 · doi:10.1046/j.1365-2788.1998.00148.x